If you or someone you love is looking for a rehab that accepts Optima Healthcare insurance or Sentara in Virginia or North Carolina for substance abuse treatment, call today to have our team run a confidential, no-cost verification of your benefits, or click here to complete our insurance form to get help today.

If you’re worried about your relationship with substances, there is help available. It can be extraordinarily difficult to come to terms with a substance use disorder, but accepting you have a problem is the first step. Changing Tides is an affordable treatment center that accepts Optima Health insurance coverage. Read on to find out more about Optima Health rehab coverage.

Doctor discussing options in an addiction treatment facility that caters to optima health coverage

Optima Health is based in Virginia and provides services to individuals and employers. Employer-sponsored plans are Optima POS plans, Optima Plus, and Optima Vantage.

Optima Vantage is an HMO plan, which means you get affordable access to medical care provided you work with an in-network rehab clinic. Optima Plus is a PPO plan, which means you can attend an out-of-network facility at an additional cost. POS plans give you the best of both worlds with extra out-of-network benefits.

Read on to learn about addiction policy coverage and how Changing Tides accepts most Optima Health rehab plans (employer-sponsored and individual policies).

Have Optima Health Insurance?

Call us now at 252-715-3905 or click the “Get Started” button below. Our team will do the necessary research to run a no-cost, confidential approval of your specific policy so you can start treatment today.

Sentara in VA  & NC and Optima Health Drug Rehab Coverage Options

Optima Health categorizes its coverage into bronze, silver and gold. All Optima Health insurance coverage plans for rehab contain a deductible. Your policy will outline what you need to contribute with regard to coinsurance payments and co-pays.

The three tiers of Optima Health rehab insurance are:

  • Bronze: Bronze is the best option for people at very low risk of needing health care. Low monthly premiums mean more out-of-pocket costs if you do require treatment.
  • Silver: With a silver plan, you should expect to pay average monthly premiums and moderate coinsurance or co-pays at the point of care.
  • Gold: While a gold plan has a higher monthly premium, you’ll pay less out-of-pocket if you need treatment.

Group therapy session at a rehab that accepts Optima Healthcare Insurance, with attentive participants

Is Outpatient Rehab Included in My Optima Health Policy?

Optima Health Insurance plans usually cover outpatient treatment, whether a step down from a more intensive outpatient program or your first step. The main caveat is that your treatment must be a medical necessity. Coverage depends on the tier if you have health insurance with your employer. Patients either pay a coinsurance fee of between 0% and 40% or a co-pay of between $150 and $300 after they’ve paid deductibles.

You’re still responsible for co-pays and deductibles if you’re on an individual Optima Health drug rehab plan. Depending on your policy, you’ll pay a coinsurance cost of between 5% and 20% or a co-pay of between $10 and $40.

In-Network and Out-of-Network

You can use Optima Health alcohol rehab insurance for out-of-network services, but the fees are often sky-high. For the best price, seek treatment in an in-network drug rehab clinic.

Does Optima Health Insurance Cover Day Treatment/ Partial Hospitalization Programs?

Optima Health insurance will cover all or part of medically necessary day treatments or Partial Hospitalization Programs (PHP). With employer-provided insurance, you’re responsible for co-pays, typically ranging from 20% to 40% after deductibles.

With an individual Optima plan, your contribution for day treatment or PHP costs ranges from 5% to 30%. However, if you are enrolled in the OptimaFit Catastrophic Plan, you may be fully covered for your entire stay at our rehab, which accepts Optima Health.

Does Optima Health Cover Accommodation?

If you suffer from a severe substance use disorder, you might require intensive treatment. Your Optima Health rehab insurance will often pay some of your accommodation costs. However, unless you have the most comprehensive plan offered, you’ll need to contribute towards your accommodation costs.

We Accept Your Insurance

If you or a loved one are ready for rehabilitation from drugs or alcohol — Call Us today or click “Get Started” below. Changing Tides is ready to help you with comprehensive insurance benefits under your Optima Health rehab plan.

Medication-Assisted Treatment

All Optima or Sentara in Virginia and North Carolina plans should cover you to some extent for prescriptions. Co-pays and coinsurance depend on the individual policy you have. Out-of-pocket costs vary significantly, from as low as $5 up to 35% of the value of the medication.

You must check what you’re covered for and prepare your paperwork before starting rehab.

Find Out What You Need to Know About Rehab Today

Changing Tides is a rehab that accepts Optima/Sentara. We’ve helped thousands overcome addiction with affordable, accessible care using their insurance plan.

Changing Tides also accepts insurance from these major providers, including Anthem, Carelon Behavioral HealthBlue Cross Blue ShieldCigna, and United Healthcare